NEW SURGICAL APPROACH FOR MACULAR DEGENERATION

    The wet form of age-related Macular Degeneration (AMD) causes a sudden and often drastic loss of central vision. Rogue blood vessels form in the retina and the leaking blood and fluid from these vessels cause extensive damage to the macula. Currently laser treatment to seal off these blood vessels is the most effective treatment but the laser light can also damage surrounding tissue. Researchers have been trying to replace damaged sections of Retinal Pigment Epithelium (RPE) by transplantation, so far with limited success. (See AMD update below). This new approach, instead of replacing damaged RPE, detaches and revolves the retina to an undamaged section of RPE. The rogue membrane is lifted off the RPE and the retina re-attached. The resultant skew vision is corrected by revolving the whole eye back in the opposite direction. Central vision has, in some cases, been dramatically improved, but doctors are not sure how long the benefits will last. Patient selection is very critical and only patients in the early stages of Wet AMD will probably be eligible for the operation. This, however, represents an entirely new approach to retinal disorders and gives us all encouragement for the future.


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